Sele kudlule iiyure ezininzi ukusukela oko waqala ukuzala, kwaye ulindele umntwana. Kodwa akukabikho mqondiso wokuba umntwana uza kuza? Ngamanye amaxesha ukuzala kuhamba kancinci, okanye kuyeke phakathi. Ngamaxesha anje, oogqirha bathatha amanyathelo okukhawulezisa inkqubo yokuzala ukuze bakuncede wena nomntwana wakho. Namhlanje, sithetha ngento abantu abaninzi abangayaziyo, kodwa leyo ibizwa ngokuba 'kukubeletha okuncedisiweyo.'
Yintoni ukwandiswa komsebenzi?
Ngamafutshane, oku kuthetha ukukhawulezisa inkqubo yokuzala esele iqalile ngokwendalo, kodwa icotha okanye iyeke phakathi. Khawuthelekelele, ukudumba kwakho kuza, kodwa ukudumba akunamandla kakhulu, okanye ixesha eliphakathi kokudumba lide kakhulu. Okanye, emva kwexesha elithile, ukudumba kuyayeka. Ngamaxesha anjalo, ukwandisa ixesha lokuzala akulunganga kuwe nakumntwana. Kulapho oogqirha basebenzisa amayeza okanye ezinye iindlela zokunceda ukuzalwa komntwana ngokuqinisa ukudumba kwesibeleko kancinci, benyusa ukudumba kwabo.
Ingaba 'ukwandisa' kunye 'nokunyusa' zizinto ezimbini ezahlukeneyo?
Ewe, kulapho abantu abaninzi badideka khona. Ezi zizinto ezimbini ezahlukeneyo ngokupheleleyo. Makhe sibone ukuba yintoni umahluko phakathi kwezi zimbini.
| Inyani | Ukuqaliswa kwabasebenzi | Ukukhawuleziswa kokuzala (Ukwandiswa) |
|---|---|---|
| Injongo | Ukukhupha umkhuhlane ngokunika amayeza angaphandle xa umkhuhlane ungekaqali . | Ukunceda nokukhawulezisa inkqubo yendalo yokukhula xa ibambeka . |
| Imeko yokusetyenziswa | Xa umntwana engazalwanga nokuba sele kudlule usuku lonke, xa amanzi ephuma kwaye umntwana engazalwanga, okanye xa umama okanye umntwana kufuneka abelethe umntwana ngokukhawuleza ngenxa yengxaki yempilo. | Xa ukuzala kungaqhubeki nokuba emva kweeyure ezili-18-24 zokuzala. (Ukusilela ukuqhubela phambili). |
Ngubani ofuna ukwandiswa komsebenzi?
Le ndlela inokuba yimfuneko ukuba uqalile ukuzala ngokwendalo, kodwa ubambeke ekuzalweni. Kukho izizathu ezininzi eziphambili zokuba ukuzala kungaqhubeki:
- Ukushwabana okubuthathaka okanye okungaqhelekanga: Ukushwabana kuyeza, kodwa akunamandla ngokwaneleyo okuvula umlomo wesibeleko. Okanye kuza ngamaza, kungekhona ngokulandelelana.
- Ukuyeka ngokupheleleyo ukubhitya: Ukuba ukubhitya kuza kwaye kuphele okwethutyana, yeka ngequbuliso.
- Ingxowa ye-amniotic ayiphukanga: Xa le, esiyibiza ngokuba "yingxowa yamanzi," iphuka, intloko yomntwana icinezela ngqo kumlomo wesibeleko. Oku kubangela ukuba umlomo wesibeleko uvuleke ngokukhawuleza. Ngamanye amaxesha, nokuba oku akuphuki, ukuzala kunokucotha.
Ngaba kukho naziphi na iimeko apho le ndlela ingasetyenziswa khona?
Ewe, le ndlela ayifanelekanga kuye wonke umntu. Ugqirha wakho usenokungayicebisi le ndlela kwiimeko ezilandelayo:
- Indawo yomntwana: Ukuba umntwana ukwindawo engeyiyo entloko ezantsi. Umzekelo, ukuba umntwana ukwibhuleki okanye ulele ngokunqamlezayo .
- Ukuvaleka kwesibeleko: Ukuba ukhe wavalelwa ngotyando ngaphambili (utyando lwe-C) okanye olunye utyando lwesibeleko kwaye unezibazi. Oku kungenxa yokuba kukho umngcipheko omncinci wokudubuka kwesibeleko ngenxa yezi zibabazi ezindala xa kunikwa amayeza okuqinisa ukudumba.
- I-Asherman syndrome: Imeko apho izicubu zesilonda zenzeka ngaphakathi kwesibeleko.
Ungayikhawulezisa njani i-productive bearing?
Kukho iindlela ezahlukeneyo ezisetyenziswa ngoogqirha ukukhawulezisa ukuzala. Indlela oyikhethayo iya kuxhomekeka kwimeko yakho.
| Indlela yokusebenza | Kwenzeka ntoni kuyo? |
|---|---|
| Ukuqhekeza ingxowa yamanzi (i-Amniotomy) | Ugqirha usebenzisa isixhobo esikhethekileyo ukuqhekeza ingxowa yamanzi ejikeleze umntwana. Njengoko ulwelo lwe-amniotic lukhutshwa, intloko yomntwana icinezela ngqo emlonyeni wesibeleko. Olu xinzelelo lubangela ukuba umlomo wesibeleko uvuleke ngokukhawuleza kwaye ukushwabana kube namandla. |
| Ukunika amayeza | Iyeza elenziweyo (elifana nePitocin® ) elifana nehomoni i- oxytocin eveliswa emzimbeni ngokwendalo linikwa ngesisombululo se-saline. Oku kubangela kwaye komeleza ukushwabana kwesibeleko. |
| I-catheter yebhaluni | I-catheter (ityhubhu encinci) ifakwa ngesibeleko kwaye ibhaluni ekupheleni iyavuthelwa. Uxinzelelo oluvela kule bhaluni luvula isibeleko kancinci kancinci. Xa isibeleko sivuleke ngokwaneleyo, ibhaluni kunye ne-catheter ziyaphuma zodwa. |
Okubaluleke kakhulu, wena nomntwana wakho nihlala nijongwa ngekhompyutha (ukubeka esweni umntwana ongekazalwa ngekhompyutha) ngelixa nisebenzisa ezi ndlela. Oku kuthetha ukuba ukuba kukho ingxaki, iqela lezonyango linokuyifumanisa ngokukhawuleza.
Zithini iingenelo zoku?
Eyona nzuzo iphambili kukuba kwandisa amathuba okuzala ngendlela yendalo, kuthintelwe utyando lwe-cesarean (C-section). Ixesha lokuchacha emva kotyando lwe-C lidla ngokuba lide kwaye intlungu iba qatha ngakumbi. Ke ngoko, kungcono ukuba nomntwana ozalelweyo, ngaphandle kokuba kuyimfuneko.
Ziziphi iingozi ezinokuvela?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo. Kodwa khumbula ukuba ezi azixhaphakanga kakhulu kwaye oogqirha bakulungele ukuzilawula.
- Ukunyusa kakhulu isibeleko: Ngamanye amaxesha, iyeza le-oxytocin linokubangela ukuba isibeleko sinciphe ngaphezu kwesiqhelo. Olu xinzelelo lugqithisileyo lunokubangela ingxaki kwimveku . Oku kuthetha ukuba umntwana usenokungafumani igazi neoksijini eyaneleyo. Oogqirha banokuyilawula le meko ngokulungelelanisa umthamo weyeza kunye nokulijonga ngokusondeleyo.
- Usulelo: Xa ingxowa yamanzi iphulwe ngokwenziwa, usulelo lwebhaktheriya (i-chorioamnionitis) alunakwenzeka rhoqo. Oku kunokubangela usulelo kusana olusandul’ ukuzalwa.Kukho umngcipheko we-sepsis yosana olusandula ukuzalwa. Ngoko ke, wena nomntwana wakho niza kunikwa amayeza okubulala iintsholongwane ukuba kuyimfuneko.
- Ukuqhekeka kwentambo yesisu: Xa ingxowa yamanzi iqhekeka, kukho umngcipheko omncinci wokuba intambo yesisu ingene kwilungu lobufazi ngaphambi kwentloko yomntwana. Ukuba oku kuyenzeka, intambo yesisu inokucinezelwa kwaye umntwana akasayi kufumana ioksijini. Le yingxamiseko kwaye ifuna utyando lwe-C-section olukhawulezileyo.
Ziziphi iimpawu ezifuna ukuba ufowunele ugqirha wakho ngoko nangoko?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kokubeleka, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
| Uphawu | Inkcazo |
|---|---|
| Iintlungu zesifuba | Intlungu yesifuba eqatha ngequbuliso. |
| Ukudinwa okanye ukuphelelwa ngamandla (i-syncope) | Amehlo aluhlaza okwesibhakabhaka, ukuziva unesizungu okanye uphelelwe ngamandla. |
| Ukopha kakhulu kwilungu lobufazi | Ukuba wopha kakhulu kangangokuba ilaphu lokuhlamba limanzi ngokupheleleyo kwisithuba seyure. |
| Ukuphuma kwamanzi kwilungu lobufazi okunuka kakubi | Ukuba kukho ukukhupha okungaqhelekanga, okunuka kakubi. |
| Iimpawu zosulelo | Iimpawu ziquka umkhuhlane, ukugodola, kunye nokungcangcazela. |
| Ubunzima bokuphefumla (ukuphelelwa ngamandla) | Ukuba uziva kunzima ukuphefumla. |
| Ukudumba (ukudumba) | Ukudumba okungaqhelekanga kwemilenze, iingalo, okanye ubuso. |
Umyalezo Wokuya Ekhaya
- Ukwandisa umsebenzi kukusetyenziswa kwe-forceps kwezonyango ukunceda ukuzala okusele kuqalile ukuqhubela phambili kancinci okanye okuyekileyo.
- Injongo ephambili yoku kukugcina wena nomntwana wakho nisempilweni kwaye nikhuselekile, kwaye nigqibezele ngempumelelo ukuzala.
- Akukho mfuneko yokukhathazeka kuba iqela lezonyango liza kuhlala likubeka esweni wena nomntwana wakho ngokusondeleyo.
- Ukuba unemibuzo malunga nokubeleka, amayeza entlungu, okanye le nkqubo, ungoyiki ukubuza ugqirha wakho.
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